Golden Corner Dentistry, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4506 Issued in SC

Legal business name

GOLDEN CORNER DENTISTRY, LLC

Practice address

102 Lusk Dr
West Union, SC 29696-2629

Phone

(864) 638-7733

Fax

(864) 718-7162

NPI assigned

Jul 17, 2015

Last updated

Jul 17, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

James Bruce

Title

Dentist/Owner

Phone

(864) 638-7733

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437091200000",
    "number": "1447634597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1778",
            "city": "WEST UNION",
            "state": "SC",
            "postal_code": "296961778",
            "telephone_number": "864-638-7733",
            "fax_number": "864-718-7162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 LUSK DR",
            "city": "WEST UNION",
            "state": "SC",
            "postal_code": "296962629",
            "telephone_number": "864-638-7733",
            "fax_number": "864-718-7162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN CORNER DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-17",
        "last_updated": "2015-07-17",
        "status": "A",
        "authorized_official_last_name": "BRUCE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "864-638-7733"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "4506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Yvonne Kluge Dale, PT,DPT
• Marie Alana Davis, LMT
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• Golden Corner Family Prac
• Jennifer Grogan
• Kimberly Hart Harvey, P.T.
• Melissa Poleynard Hubbard
• Ingles Markets Inc (Ingles Pharmacy #049)

• General Practice Dentistry in West Union, SC
• Providers in West Union, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.